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Updated: Jul 20, 2026

Spontaneous Murine Model of Anaplastic Thyroid Cancer
Published on: February 3, 2023
RET/PTC rearrangements and BRAF mutations in thyroid tumorigenesis
Raffaele Ciampi1, Yuri E Nikiforov
1Department of Pathology, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA 15261, USA.
Abstract:
Thyroid papillary carcinoma is the most common type of endocrine cancer. It is frequently associated with genetic alterations leading to activation of the MAPK signaling pathway. The two most frequently affected genes, BRAF and RET, are activated by either point mutation or as a result of chromosomal rearrangement. These mutations are tumorigenic in thyroid follicular cells and correlate with specific phonotypical features and biological properties of papillary carcinomas, including tumor aggressiveness and response to radioiodine therapy. Molecular inhibitors that block RET/PTC or BRAF kinase activity have shown substantial therapeutic effects in the experimental systems and are currently being tested in clinical trials.
Insights
Papillary thyroid cancer, the most common endocrine cancer, often involves genetic mutations in BRAF and RET genes that activate the MAPK pathway. These mutations influence tumor behavior and response to therapy, with targeted inhibitors showing promise.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Thyroid papillary carcinoma is the most prevalent endocrine malignancy.
- Genetic alterations, particularly in BRAF and RET genes, frequently activate the MAPK signaling pathway in this cancer.
- These genetic events are tumorigenic and impact cancer characteristics.
Purpose of the Study:
- To investigate the role of BRAF and RET gene mutations in thyroid papillary carcinoma.
- To understand how these mutations affect tumor aggressiveness and radioiodine therapy response.
- To evaluate the therapeutic potential of molecular inhibitors targeting these pathways.
Main Methods:
- Analysis of genetic alterations in BRAF and RET genes.
- Correlation of mutations with phenotypic features and biological properties.
- Assessment of molecular inhibitors in experimental systems.
Main Results:
- BRAF and RET gene mutations are common drivers of thyroid papillary carcinoma.
- Mutations correlate with tumor aggressiveness and radioiodine therapy response.
- Molecular inhibitors targeting RET/PTC or BRAF demonstrated significant therapeutic effects in preclinical studies.
Conclusions:
- Targeting BRAF and RET pathways offers a promising therapeutic strategy for thyroid papillary carcinoma.
- Understanding these genetic alterations is crucial for personalized treatment approaches.
- Clinical trials are underway to validate the efficacy of these targeted therapies.
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